Paula J. Potvin, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1015334 Issued in MA

Practice address

500 Harrison Ave
Boston, MA 02118-2439

Phone

(617) 624-7775

NPI assigned

Jan 8, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1366959777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HIGHLAWN TER",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HARRISON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182439",
            "telephone_number": "617-624-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTVIN",
        "first_name": "PAULA",
        "middle_name": "J.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1015334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "1015334",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Mary Potter
• Keriann Lynn Potter, MD
• Laura A Potter, MD
• Heather E Potts, PHD
• John Thomas Potts Jr., MD
• Stacy Ellen Potvin, PTA
• Prabhat Poudel, MBBS
• Isabelle Poulack
• Vasiliki Poulaki, M.D.
• Jean Ernest Kenny Poulard, NP

• Clinical Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.